Healthcare Provider Details

I. General information

NPI: 1417652546
Provider Name (Legal Business Name): NATHAN ALEGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MEDICAL CENTER BLVD
MARRERO LA
70072-3147
US

IV. Provider business mailing address

1100 POYDRAS ST STE 2500
NEW ORLEANS LA
70163-2500
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-1656
  • Fax:
Mailing address:
  • Phone: 504-527-9953
  • Fax: 504-527-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number350362
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: